2

3

No:
"Mechanism of action. Tizanidine is a central alpha-2-adrenergic receptor agonist and presumably reduces spasticity by increasing presynaptic inhibition of motor neurons. The effects of tizanidine are greatest on polysynaptic pathways."
That is not an narcotic/opiate
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4

As others said, :
Tramadol is a synthetic narcotic. As a neurologist I try avoiding it when possible due to its risk vs. benefits when it comes to ACTUAL pain relief scores for conditions such as radiculopathy, neuropathy, & headaches vs. # of significant side effects such as seizures and conversion of pain into chronic form due to quick tolerance of the body and risk of medication overuse syndrome.
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6

Yes:
Meperidine, or demerol, (meperidine hydrochloride) is a very addictive opiate. The opiate also forms a significant physiologic dependence in patients if used for extended periods. Addiction is a biopsychosocial disease with a genetic predisposition. Dependency is a physiologic dependence on a medication. Demerol (meperidine hydrochloride) or Meperidine may cause both.
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7

Tramadol:
Tramadol is a prescription pain medication. It is an synthetic opioid medication. However, it is not considered a narcotic or a controlled substance by the United States drug enforcement administration.
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8

No:
Cyclobenzaprine is a type of muscle relaxant, and not an opoid medication (narcotic). Because it can affect the way you feel, some people can become psychologically dependent on it if they take a lot over an extended period of time. But it is not a narcotic or opoid medication.
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13

Toradol?:
Toradol (ketorolac) belongs to a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Advil and Aleve are in that group. Ketorolac works by reducing inflammation and pain in the body. It is used short-term to treat moderate to severe pain. An addict should already have a doctor monitoring all her medications and prescriptions, and can check for any reasons to avoid Toradol.
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21

Yes..yes...but:
Tramadol is an opiate and can be used with norco (hydrocodone and acetaminophen). Tramadol can be addicting but less so than Norco (hydrocodone and acetaminophen) (hydrocodone). In treating pain, i tend to prefer tramadol to Norco (hydrocodone and acetaminophen) actually. There are many non-opioid treatments of pain that are not addicting at all. Good luck.
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22

Depends:
if the urine test is not specifically looking for tramadol and just opiates, no it will not. I would tell your doctor or employee all meds and vitamins you take before the test to have full disclosure. Honesty is the best policy.
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25

Tramadol=Opiate:
A common misconception is that tramadol is not an opiate. In fact, it is. An opiate is defined as a medication that binds to a specific type of receptor called a mu receptor;tramadol binds to this receptor. Therefore it causes typical opiate related side effects including nausea, vomiting, constipation, dizziness, sedation and respiratory depression.
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26

No:
To clarify, if you are on long term opiates and take tramadol there is no withdrawal. Long term tramadol does have a withdrawal syndrome however. The 2 drugs are additive and can cause sleepiness and respiratory depression and should NOT be taken at the same time as the work on the same receptors and would provide no further benefit.
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27

Tapering is best:
Tramadol is a synthetic opiate with weak Mu opiate agonist activity and some re-uptake inhibition of norepinephrine and serotonin. In translation: it acts like a weak narcotic AND antidepressant at the same time. It has a long half life: 7 hours. So it takes a while (4-5 half lives) to build up and to come out of the body. Taper over 2 weeks reducing the dose 10% per day to avoid withdrawal.
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28

Yes:
If the tramadol is being prescribed, talk to the prescriber about a tapering regimen. If it is not prescribed, this is part of a substance use disorder, and you should seek help. Tapering can be done with a cross-reactive drug like buprenorphine (Suboxone) or methadone, or can be done with tramadol itself. However, counseling and a support program is also a necessary part of recovery. Good luck.
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29

Yes:
In general it is a lot better in terms of comfort and the body adjusting to taper off medications if you have been on it for a prolonged period of time. Tapering both dose and interval helps.
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Discuss w/ Dr:
Your Rx needs have been risky for addiction (as you know) and this is a good choice relatively since it only is effective per oral use. But the impact on brain chemistry might still be imperfect. Ask your Dr to check it out for you (they know your body's Hx). Try other techniques too to reduce dosage needs, etc. Psychotherapy, meditation, yoga, etc might be good!
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32

Tramadol technically:
is an opiate. It is a synthetic opiate receptor binding drug and is effective for mild to moderate pain. There are many modalities for treating pain other than medication alone. If this is a chronic problem you may wish to speak with a pain specialist (in fact I strongly recommend this). NSAIDs like Ibuprofen and Tylenol (acetaminophen) are also helpful for pain, but have significant potential for adverse effect
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36

ONLY FOR SOME:
Nearly anything that stimulates the 'pleasure center' in the brain can be addicting. Not everyone has the same effects from using tramadol, but those who get a 'high' or 'rush' are at high risk of addiction.
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37

Good analgesic:
Tramadol is one of the only non-narcotic pain "killers" on the market. It is good for mild to moderate pain but is fairly short acting, clinically providing pain reduction for 2-4 hours, on average. It comes in an er (extended release) form for patients with chronic daily pain. Ask your doctor for advise if this agent is right for you.
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